ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzesh Shlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 1 1/2 years.
H/O bus accident and injury to head 5 years back.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is a very small, approximately 4.0 mm diameter sized hypointense lesion, more pronounced on the proton and T2 Weighted images in the left frontal, subcortical white matter (scans 103.17, 102.17, 105.17). This lesion also appears hypointense on the T1 Weighted images. Perilesional white matter hyperintense signal on the T2 Weighted images may represent gliotic changes.

The hippocampal complex on either side is unremarkable.

Slight fullness of the temporal horn of the right lateral ventricle is a normal variant.

The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of a Thorn waldts cyst.

IMPRESSION :

A 4.0 mm diameter sized hypointense lesion on all the pulse sequences in the left frontal, subcortical white matter, most likely represents a calcified granuloma with perilesional gliotic changes.